Individual
MR. BRANDON RAY CRANDALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1831 W COURT ST, STE 1, JANESVILLE, WI 53548-3406
(608) 754-7463
(608) 754-1437
Mailing address
1831 W COURT ST, STE 1, JANESVILLE, WI 53548-3406
(608) 754-7463
(608) 754-1437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1348-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38829600
—
WI
Enumeration date
07/26/2005
Last updated
07/08/2007
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